Organization
OLD MOULTRIE SURGICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE EDWARD SADOWSKI MD (MEDICAL DIRECTOR)
(904) 797-6627
Entity
Organization
Contact information
Practice address
2460 OLD MOULTRIE ROAD, SUITE 3, ST AUGUSTINE, FL 32086-4198
(904) 797-6627
(904) 797-6028
Mailing address
P O BOX 3127, ST AUGUSTINE, FL 32085-3127
(904) 797-6627
(904) 797-6028
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1089
FL
Other
Enumeration date
09/15/2006
Last updated
08/03/2009
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